HomeMy WebLinkAboutBldg Permit 01-1289
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1. White File
2. Pink City
3 . Yellow Applicant
I PERMIT NO'o/-/[)f1 I
I
ZONING (ofliceuse)
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(Name) I '() f'fU'<--
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LEGAL DESCRIPTION (office use only)
LOT BLOCK:3 ADDITION
(Phone)
(Address)
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(Phone) t'~'i1-~' ~3>~
(Phone) ( 1,;. (p 3>
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TYPE OF WORK
o
'ch
~-Roofing
OAlteration
ORe-Siding
CLOSE FILE
01 10/28/03 MP
.dition
OUtility Connection
o Misc.
:xcluding land) $
x
Vll VI! UI!' aYYll\.aUVI! W..,\.I! l' LV Ul" "",. VI my knowledge true and correct. I also certify that I am the owner or
perty and constrUction will conform to all existing state and local laws and will proceed in accordance with
offi 'aI an ok.e this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
{tJ i 13 " I
~.].~No.
This Application Becomes Your Building Permit When Approved
I Paid ~7?~ ~1J
Date /- --0 I
# $
# $
$
$
# $
# $
$
$
$ re"
I r:;e~409 '1
Permit Fee $
Plan Check Fee $
State Surcharge $ S-
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Building Official
Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 /';
16200 Eagle Creek Avenue Prior Lake, MN 55372 \J....1 C, Z~